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Abstract #1486

Diffusion-Weighted MR Imaging Vs. Multi-Detector Row CT: Direct Comparison of Capability for Assessment of Management Needs for Anterior Mediastinal Solitary Tumors

Shinichiro Seki1, Hisanobu Koyama1, Yoshiharu Ohno2, 3, Mizuho Nishio2, 3, Daisuke Takenaka4, Takeshi Yoshikawa2, 3, Sumiaki Matsumoto2, 3, Kazuro Sugimura1

1Radiology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan; 2Advanced Biomedical Imaging Research Center, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan; 3Division of Functional and Diagnostic Imaging Research, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan; 4Diagnostic Radiology, Hyogo Cancer Center, Akashi, Hyogo, Japan


The clinical benefits of differentiation of anterior mediastinal solitary tumors is obvious, especially differentiation in clinical practice of tumors not needing further intervention or treatment and those needing them, as well as of malignant and other tumors. Many studies have reported that these tumors produce characteristic CT and MRI findings, but the differentiation is difficult in some cases. Recently, it has been suggested that diffusion-weighted imaging (DWI) could be useful for assessment of primary malignanct tumor. We hypothesized that DWI might be as effective as multi-detector row CT findings for the diagnosis and management of anterior mediastinal solitary tumors.